Reply to "TIC Legislation and Policy"

Yes. The ACES are the foundation of the TIC education. I use the ACE pyramid, give out Donna Jackson Nakazawa's book Childhood Disrupted, Vander Kolks book, depending on the audience I give out the Academy of Violence and Abuse competencies for healthcare workers pamphlet. The question I get in the hospitals is how we fit in with the many other causes such as Domestic violence, suicide prevention. I again refer back to the pyramid and say it is the umbrella term that encompasses concepts from the others. Remember we first had 'Don't Drink and Drive, then Don't Text and Drive, and now it is Don't Drive Distracted'. Same thing with TIC, it is the broader term. I talk to hospitals who currently don't get paid for readmissions within 30 days for some common diseases such as CHF and COPD as we should be managing them in the community. I tell them that as hospitals we are only focusing mainly on the top two layers of the pyramid, we need to focus on the bottom layer which addresses Population Health, a very popular term in the medical community right now.

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